interface/patient_file/encounter/other.php

   1 <?php
   2 include_once("../../globals.php");
   3
   4 //the number of rows to display before resetting and starting a new column:
   5 $N=10
   6 ?>
   7
   8 <html>
   9 <head>
  10 <?php html_header_show();?>
  11
  12 <link rel="stylesheet" href="<?php echo $css_header;?>" type="text/css">
  13 </head>
  14 <body class="body_bottom">
  15
  16 <table border=0 cellspacing=0 cellpadding=0 height=100%>
  17 <tr>
  18
  19 <td valign=top>
  20
  21 <dl>
  22
  23 <form method='post' name='other_form' action="diagnosis.php?mode=add&type=OTHER"
  24  target='Diagnosis' onsubmit='return top.restoreSession()'>
  25 <script type="text/javascript">
  26 function clearform(atrib){
  27 document.other_form.text.value=document.other_form.textH.value;
  28 document.other_form.code.value=document.other_form.codeH.value;
  29 document.other_form.fee.value=document.other_form.feeH.value*document.other_form.noofunits.value;
  30 document.other_form.units.value=document.other_form.noofunits.value;
  31 document.other_form.textH.value='';
  32 document.other_form.codeH.value='';
  33 document.other_form.feeH.value='';
  34 document.other_form.noofunits.value='1';
  35 }
  36 function isNumberKey(evt)
  37       {var charCode = (evt.which) ? evt.which : event.keyCode
  38          if (charCode > 31 && (charCode < 48 || charCode > 57))
  39          {
  40          alert("<?php xl('Units must be a number', 'e'); ?>");
  41          return false;
  42          }
  43 return true;  }
  44 </script>
  45 <dt><span class=title><?php xl('Other', 'e'); ?></span></dt>
  46
  47 <br>
  48 <table>
  49 <tr>
  50 <td class="text"><?php xl('code', 'e'); ?></td>
  51 <td class="text"><?php xl('description', 'e'); ?></td>
  52 <td class="text">&nbsp;&nbsp;&nbsp;<?php xl('fee', 'e'); ?></td>
  53 <td class="text"><?php xl('units', 'e'); ?></td>
  54 <td></td>
  55 </tr>
  56 <tr>
  57 <input type=hidden name=code>
  58 <input type=hidden name=text>
  59 <input type=hidden name=fee>
  60 <input type=hidden name=units>
  61   <td class="text"><input type=entry name=codeH size=4>&nbsp;&nbsp;</td>
  62   <td class="text"><input type=entry name=textH size=13 value="">&nbsp;&nbsp;</td>
  63   <td class="text"><?php xl('$', 'e'); ?> </span><input type=entry name=feeH size=5></td>
  64   <td> <input type=text name="noofunits" onkeypress="return isNumberKey(event)" size=3 value=1></td>
  65   <td>&nbsp;<a class='text' onclick="clearform('clear')" href="javascript:top.restoreSession();document.other_form.submit();">
  66     <?php xl('Save', 'e'); ?> </a>
  67   </td>
  68 </tr>
  69 </table>
  70 </form>
  71
  72 </dl>
  73
  74 </td>
  75 </tr>
  76 </table>
  77
  78 </body>
  79 </html>